Treatments

Anal Fissure surgery

Are you struggling with persistent pain or discomfort during bowel movements? You could be dealing with an anal fissure — a small tear in the skin lining your anus. If you’re based in London and searching for expert help, our anal fissure surgery services offer effective relief and long-term healing in a calm, private setting.

We understand that anal issues can feel uncomfortable to talk about, but you’re not alone. Anal fissures are a common condition, and with the right care, they can be managed — and in many cases, fully resolved.

What Is an Anal Fissure and What Causes It?

An anal fissure is essentially a small tear or cut in the lining of the anal canal. While it may seem minor, the pain it causes — especially during and after bowel movements — can be severe. This is due to the sensitive nerve endings in the area being exposed.
The most common cause? Constipation. Straining or passing hard, bulky stools can tear the delicate skin around the anus. Other causes include:

  • Chronic diarrhoea
  • Inflammatory Bowel Disease (IBD)
  • Childbirth and pregnancy
  • Tight anal sphincter muscles

Early anal fissure treatment can prevent chronic symptoms and further complications, which is why timely diagnosis is key.

Symptoms

Common Symptoms of an Anal Fissure

You may have an anal fissure if you’re experiencing any of the following:

Pain during bowel movements

A sharp, burning sensation that can linger for hours after using the toilet.

Bright red blood on toilet paper or in the bowl

This usually appears as streaks rather than heavy bleeding.

A visible tear around the anus

You might see a crack in the skin if you examine the area.

A small lump or skin tag

Often confused with haemorrhoids, this can appear near the fissure.

If these symptoms sound familiar, it’s time to consider professional treatment for anus fissure before it becomes chronic.

Conservative Anal Fissure Treatment Options

In many cases, no surgery is needed. Initial anal fissure treatment involves conservative measures like:

  • Dietary changes to prevent constipation (high-fibre foods, more fluids)
  • Stool softeners or laxatives to reduce straining
  • Sitz baths — warm water soaks that relax the area and promote healing
  • Topical creams to reduce pain and encourage blood flow to the region

These non-invasive methods often resolve the issue within a few weeks. However, when symptoms persist, it’s time to explore a more lasting solution — anal fissure surgery.

Anal Fissure Surgery – When Is It Needed?

If conservative treatments haven’t worked or you’ve had multiple recurrences, a minor procedure might be the best way forward. Our private anal fissure operation in London is safe, quick, and performed by experienced specialists.

The most common surgical option is Botox (botulinum toxin) injection. 

This treatment is indicated in chronic anal fissures that haven’t healed with other methods, working by relaxing the sphincter muscle to reduce pain and spasms, potentially allowing the fissure to heal.

Benefits of Anal Fissure Surgery

  • Rapid and lasting pain relief
  • High success rate (over 90%)
  • Minimally invasive with fast recovery
  • Reduced risk of recurrence
We also offer private anal fistula surgery if additional complications are discovered during assessment.

Why Choose Us for Anal Fissure Surgery in London?

Choosing the right clinic for such a personal condition is important. Here’s why patients trust us:
Discreet and compassionate care in a comfortable, judgement-free environment
Highly experienced colorectal specialists using advanced techniques
Private consultations and same-week appointments
Aftercare support to guide you through recovery

Real Stories from Our Patients

I was nervous about coming in, but from the first consultation, I felt completely at ease. The surgery was quick, and I’m finally pain-free.

I’d been suffering for months. This was the best decision I made — the staff were kind, and the results were amazing.

Ready to Take the First Step Toward Healing?

Don’t let the discomfort take over your life. With expert help, relief is just a step away. Whether you need a detailed consultation or are ready for anal fissure surgery in London, we’re here to help.

FAQ

FAQs About Anal Fissure Surgery in London

How do I know if I need surgery for my anal fissure?
If your symptoms haven’t improved after 6–8 weeks of non-surgical treatments, or you’ve had repeated fissures, surgery may be recommended.
The procedure is typically performed under anaesthesia. Discomfort is minimal and manageable post-surgery, and patients often feel significant relief within day
Most people return to work within a week and experience complete healing within 4–6 weeks.
No, anal fissure surgery is usually a same-day procedure, so you can return home the same day.
Recurrence is rare after surgery, especially if lifestyle and dietary habits are improved.

Book An Appointment

Get in Touch with
Ms. Annamaria Minicozzi